Dr Jason T Koo, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Draper, Utah. His current practice location is
13249 Cascade Glen Dr, Draper, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 572-5226.
Dr Jason T Koo is licensed to practice in Texas (license number M1188) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720005317.
Physician's Profile
Full Name | Dr Jason T Koo |
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Gender | Male |
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Speciality | Surgery - Plastic And Reconstructive Surgery |
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Location | 13249 Cascade Glen Dr, Draper, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720005317
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 07/05/2010
Medicare PECOS Information:
- PECOS PAC ID: 4183679210
- Enrollment ID: I20050525000795
Medical Identifiers
Medical identifiers for Dr Jason T Koo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720005317 | NPI | - | NPPES |
173049102 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086S0122X | Surgery - Plastic And Reconstructive Surgery | M1188 (Texas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jason T Koo allows following entities to bill medicare on his behalf.
Entity Name | Skilled Facility Health Care Solutions Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104018423 PECOS PAC ID: 9032299144 Enrollment ID: O20120530000296 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jason T Koo is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jason T Koo, MD 13249 Cascade Glen Dr, Draper, UT 84020-7146 Ph: (801) 572-5226 | Dr Jason T Koo, MD 13249 Cascade Glen Dr, Draper, UT 84020-7146 Ph: (801) 572-5226 |
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